Fox Valley Dialysis LTD

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FOX VALLEY DIALYSIS LTD

Practice address

1300 Waterford Dr
Aurora, IL 60504-5502

Phone

(630) 236-1300

NPI assigned

May 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Calvin Ganong

Title

Chief Operating Officer

Phone

(630) 851-1206

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Fox Valley Dialysis LTDCCN 142568

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Oct 25, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Dialysis stations

29

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Bernhard, MD

  • Family Medicine Physician
  • Batavia, IL
  • NPI 1649228727
  NPD (past)
• Valerie Arango Heidenry, MD

  • Nephrology Physician
  • Aurora, IL
  • NPI 1720046618
  NPD (past)

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Valerie Arango Heidenry, MD

  • Nephrology Physician
  • Aurora, IL
  • NPI 1720046618

  Dialysis facility

  Care Compare affiliation Name & address match
• Rasa Liesionyte Kedainis, M.D.

  • Nephrology Physician
  • Aurora, IL
  • NPI 1114143021

  Dialysis facility

  Care Compare affiliation Name & address match
• Harry Rubinstein, MD

  • Nephrology Physician
  • Aurora, IL
  • NPI 1154361954

  Dialysis facility

  Care Compare affiliation Name & address match
• Rony R Shah, M.D.

  • Nephrology Physician
  • Chicago, IL
  • NPI 1295225365

  Dialysis facility

  Care Compare affiliation Name & address match
• Pardeep K Sood, MD

  • Nephrology Physician
  • Aurora, IL
  • NPI 1205870276

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912900192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WATERFORD DR",
            "address_2": "LOWR LEVEL",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045502",
            "telephone_number": "630-851-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WATERFORD DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045502",
            "telephone_number": "630-236-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX VALLEY DIALYSIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANONG",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "630-851-1206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "644",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foundations Counseling and Assessments LLC
• Fox River Pavilion Limited Partnership
• Fox River Therapy LTD
• Fox Valley Cardiovascular Consultants, LLC
• Fox Valley Dermatology, LTD.
• Fox Valley Internist Inc.
• Fox Valley Medical Associates, LTD.
• Fox Valley Medical Diagnostic Services Inc.
• Fox Valley Pain Management, LLC
• Fox Valley Special Consultations

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Aurora, IL
• Providers in Aurora, IL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.